Posts Tagged: delivery

I’m going to start out by saying that my daughter has given me permission to write about the delivery and birth of my first grandson.

Overdue

So, my daughter was overdue. She sailed through her pregnancy with perfect blood pressure, minimal weight gain, healthy habits and (mostly) good humor, interspersed with what she called her “hormone flares,” when lightning bolts shot out of her eyes and she hated everything and everyone. Aside from those, she was doing great, even when she went past her due date by a week. She was due on Friday, and the next Friday, at her doctor’s behest, she arrived at the hospital at midnight to begin the process of having labor induced. When she checked in, her blood pressure was at stroke/seizure level. The dreaded gestational diabetes had arrived.

The only cure is birth.

I didn’t know this. The plan was that I’d sleep as usual on Thursday night, and hop up to the hospital with a paperback book and my phone charger in my purse. There, I would join my daughter and her boyfriend for the birth, which I assumed my tall, athletic daughter would handle with no trouble at all. The best-laid plans, yes?

So I arrived, and heard about the blood pressure, which I could see on a little screen that monitored her erratic, weak contractions, and the beating of my grandson’s heart. This blood pressure was scary. The nurse assured me that an epidural would bring it way down, but before that she needed to move into real labor. She just wasn’t there yet.

My experiences

As a veteran of one completely natural birth and two predominantly natural births, I am under the impression that I know what I’m doing. And maybe I do, but I only know what I’m doing in non-medicalized births. My first labor was a rough walk—and I mean a literal walk, because at some point I got up and began to walk around and they really had to convince me to get back into bed—and my second and third deliveries were induced in hospital to avoid precipitous delivery. That’s how we do things on my side of the family after the first one comes. We go fast and hard. I know this from family lore.

My mother, a second child, was born in the front seat of a truck. During a freak snowstorm in June, my grandparents’ car went into the ditch on the way to the hospital. They were picked up by a bachelor farmer, and at some point my grandmother reached down, pulled her coat up between her knees and caught my mom. Grandma was embarrassed but I suppose that farmer was, too. I’ll tell the story of my grandmother’s third child another time—it’s great. A generation later, my brother took a reasonable time to appear, but my sister and I were born quickly. And I took the usual amount of time to have my oldest, but my second was a three-hour affair. Labor with my youngest daughter took 44 minutes.

Versus reality!

So this was the legacy I thought I’d have passed on to my daughter. And apparently I couldn’t have been more blithely mistaken. When I arrived up at the hospital, she’d been taking Misoprostol for eight hours, without much progress. And they didn’t want to start Pitocin yet. So we spent some hours watching her progress, and talking, and laughing, but really being scared each time that BP cuff inflated and gave us scary numbers. Finally, they offered her some Fentanyl. She took it, knowing it would help with BP and anxiety and pain, but she haaaaated how it made her feel. Sorry, all you opiate lovers out there, but there are people who despise that rush and I am one of them. So is my daughter. But it relaxed her.

We did some walking around the ward. Walking is a good thing to get contractions going, and she had been training for this for months before she and her C started trying for a baby, so we walked a good half a mile or so. This got the contractions started, and we returned to the room and did the breathing that you do, that natural childbirth stuff I remembered from 27 years earlier, because you really can’t forget it. The contractions were really hurting her.

When she asked for her epidural, we all were relieved, knowing it would bring down her blood pressure. But here’s the thing. It also slowed her progress. I remember watching the monitor that showed baby’s heartbeat and my daughter’s contractions. It’s interesting that the monitor showed her lines, and then the lines of the woman laboring in the room directly next to her. It was pretty easy to tell when her neighbor was delivering–the contractions do something dramatic at that point, they go from modest, regular hills to Grand Tetons to the Swiss Alps, a big jagged mountain range that drops off suddenly–and I said, “Looks like your neighbor beat you.” My daughter said, “Remarks like that don’t help, Mom.” At that point, I guess I thought I could still be flip.

Freezing

It was so cold in there, but she didn’t mind, so I dealt with it. When I say cold, I mean freezing. When I say freezing, I mean Arctic. And they kept hooking her up to stuff, and running monitors and lines and so on, and she bravely, stoically consented to all of this because how else do you get that baby out? I stopped being flip and became concerned. I would go out into the lobby occasionally to warm up, and I called T at one point and just softly poured out my concerns. He listened, and he would definitely have patted my hand had he been there, but it was enough just to let out my worries. I was okay. The morning turned into an afternoon, and the afternoon into an evening. I spent that night with them, sleeping in a chair while C slept on a bench/bed that was positioned under the window and under the air duct that kept pushing up a relentless stream of icy air on our heads all day and night.

I dozed, then would wake up and watch her contractions, which evened out as she slept (I thought they had stopped, but the monitor was in the wrong place). I didn’t remark on the appearance of a new neighbor, whose contractions didn’t look very impressive, either. I was so cold that night. And so worried. At some point, C woke up and went to take a shower (I am assuming to WARM UP) and he steered me to the bench, where I slept for two hours under that damn icy air. I apparently kept myself from waking up with a form of lucid dreaming–I kept dreaming cold dreams, like I was asleep in a chest freezer, or I was tied to the wings of a bi-plane with icy air current flowing over me, and the like. This allowed me to sleep instead of waking up to shiver.

Another day

Morning was a relief. Except of course the neighbor’s contractions did the towering peaks thing they were supposed to do, and my daughter’s stayed as gentle and rolling as hills. She was starting to feel like she was doing something wrong, because she just wasn’t dilating. All the loving support from her C, all my motherly ministrations wouldn’t hurry along the process. At 5:30 AM, they broke her water, warning her that she might get an infection. And we waited for that to make a difference. But each thing they did to her seemed like it pushed away the possibility of a regular birth, until the idea of her pushing out a baby was a tiny ship on the horizon, so far away from whatever was happening in that room.

Later in the morning, T brought me a bag with my heart medicine, toiletries and a Pendleton blanket. I sat with him in the blissfully warm lobby, telling him everything while he listened with love and care, then returned to the deep freeze labor room where I cleaned up, BRUSHED MY TEETH THANK GOODNESS, and wrapped myself in the blanket. I wasn’t sure if it gave me the gunslinger air of the Man With No Name, or maybe it gave me and air of some hippie doula lady who was wearing the blanket to usher in the birth with the help of the Universe and its blessings. I kept that blanket wrapped around me tightly. It saved me from frostbite, I think. And my daughter and C stayed calm and brave as she began gently, finally, to make some progress.

Discouraged

Is there any worse feeling than being in hard labor for over 24 hours, and being told you haven’t made any progress? I don’t know. I could have given birth in a field while chewing on a leather strap, then gotten up and gone back to work. I had no idea what to say, what to do, how to help. I just stayed calm and held her hand and watched that monitor, watching for peaks. C had gone out into the hallway to ask the nurses what they thought, and heard one saying something to the effect of, “You know what I’m afraid of? I’m afraid that after all this, she’ll push for two hours and we’ll have to section her anyway.”

After all that work? Worry? Waiting? No. Not fair. But that little ship seemed even farther away. I could almost see the sailors waving at us, wishing us well with the Caesarean. Maybe next time, they said. And my kids would have done it, their goal was a healthy, whole baby, not a natural delivery. But she’d worked so hard. They both had. Was major surgery the only option?

To their credit, not one of the nurses, the doctor, or the midwife ever mentioned a C-section. But it was out there. I knew that if she didn’t have the baby by 5:30 am the next morning, they would take him 24 hours after they broke her water. The staff encouraged her to keep trying, and she did. I wish I’d taken notes, I really do. Because it was such an ordeal, amplified by fear, multiplied by the sheer hours we’d been there. But then, finally, after another day had turned to another night, after she’d gotten a temperature and had to start on two IV antibiotics, after an hour when C had ducked out to try to find something to eat and the epidural failed her, my daughter and I sat quietly, doing the breathing while the terrible contractions of active labor overtook her.

Progress.

I knew she was making progress, because this is how my own first labor had progressed. Hours of labor. Nothing, nothing, nothing, and boom. A lot of progress in a short time. When C returned and the midwife checked her again, she was almost there. And after a very kind and sweet anesthesiologist came in and re-relieved her pain (I cannot be thankful enough for how carefully he listened to her, how gently she advised her, how sweetly he encouraged her), after the table full of draped birth supplies was rolled in, our matter-of-fact and encouraging midwife said she could push a little.

C hadn’t told me about what he’d overheard in the hall, but I believe it steeled him to be the best, strongest coach he could be for the pushing. He held one of her hands and pulled back one of her legs, and I took the other. It was just us and a nurse at that point. And after she did push a little, it was clear the baby was descending. I mean, he was arriving. C said, “We need some more people in here.” I thought it might take longer, but somehow, he just knew his son was imminent.

The midwife came back in, in they took the drape off the birth supplies and took the bed apart and made it into a delivery table and ushered in the NICU staff (there because my daughter gave birth in the high-risk area). And she pushed and we cheered and she pushed and the baby began his descent into the world, he was coming and it was happening, slowly but surely and irrevocably, all of us cheering and watching and hoping and that little head appeared and retreated and appeared a little more, and when I got too tired to pull on that leg another doctor took hold, and after fifty minutes of effort and encouragement, my daughter curled up like a potato bug one last time and pushed and then he was there, this long jumble of baby and cord and limbs and head and shoulders, his head a cone and his forehead scratched from battle, but she did it, all that work and he was finally there, 11:11 PM, just 49 minutes short of 48 hours after they got the hospital.

And…

My grandson is the most amazing little thing in the universe to me right now. Beloved, precious and perfect. 8 lb 7 oz and 22 inches, for those of you who would like to know the dimensions. Eye color is still a mystery, hair is soft, silky, blond/brown. He looks like my daughter and C both, and he has the longest legs and squarest shoulders. Everyone is settled in and doing fine, especially since her milk came in. This is a new venture for me, this grandparent thing.